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New York rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.04 / $3,419.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.89 / $1,793.89 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $1,471.00 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $950.00 / $3,471.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.96 / $1,190.96 / $1,190.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,471.00 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.36 / $4,194.00 / $9,020.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.96 / $1,361.96 / $3,501.23